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Organization

LINCOLN ANESTHESIOLOGY GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL GLEASON (OFFICE MANAGER)
(402) 434-5600
Entity
Organization

Contact information

Practice address
575 S 70TH ST STE 305, LINCOLN, NE 68510-2471
(402) 434-5600
(402) 434-5601
Mailing address
PO BOX 6067, LINCOLN, NE 68506-0067
(402) 434-5600
(402) 434-5601

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101097
NE

Other

Enumeration date
07/15/2009
Last updated
07/15/2009
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